What Meaningful Use Means to Your Practice

1. What Meaningful Use Means to Your Practice Speaker: Abdiel Marin (Ab-Dee- L) President & Lead Developer for EyeMD EMR Healthcare Systems, Inc.

2. Intro to Meaningful Use • Meaningful use is real, well funded, and is not going away • As of 5/31/2012 113,497 EPs & EHs have been reimbursed a total of 5.7 Billion Dollars: 21.2 Billion is left 1181 Ophthalmologists have been reimbursed 2394 Optometrists have been reimbursed • You will receive payment 6-8 weeks after attesting • $44,000 in payments per Medicare provider are available if you start now • It is easier for an Ophthalmologist to achieve Meaningful Use than a Primary Care Physician!

3. Waiting Will Cost You • Waiting will reduce your Incentive Reimbursement • Penalties will start in 3 Years for MU. E-Rx already started, PQRS penalties start next year. • The Government expects you to procrastinate. • Unused MU funds will be deposited into the US Treasury General Fund, penalties will decrease Medicare’s liabilities.

4. Waiting Will Cost You E-Rx Penalties • 1.5% Penalty for 2013 if you did not send at least 10 E-Rx’s by June 30, 2012. • 2% Penalty for 2014. PQRS Penalties • 1.5% Penalty for 2015 if you don’t report PQRS for 2013! • 2% Penalty every year after. Total Penalty per Doctor billing 1mil MCR per year • 2013 Total Penalty = 3% + $5,000 = $35,000 • 2014 Total Penalty = 4% + $15,000 = $55,000 • 2015 Total Penalty = 3% + $24,000 = $54,000 • 2016 Total Penalty = 4% = $40,000 • 2017 Total Penalty = 5% = $50,000 • 2018 Total Penalty = 7% = $70,000 Total = $304,000 per Doctor

5. EMR Selection is Critical to Your Success • Achieving Meaningful Use should be easy and automatic • MU is a great reimbursement program to help you modernize your practice, but selecting the wrong EMR/EHR can easily spoil the incentive. • An EMR should help streamline your practice, if it hurts it something is wrong. • The Meaningful Use Incentive will not offset the costs associated with selecting the wrong EMR. DO YOUR DUE DILIGENCE!

6. How to Select an EMR Make Sure the EMR is ONC-ATCB Complete EHR Certified A Modular Certification will require you to purchase solutions from other vendors in order to achieve Meaningful Use

7. Types of EMR Software Template EMR vs. Specialty EMR A Template EMR is an EMR that offers you a software structure that you customize entirely PROS • You can customize the system in any way that you like • Multispecialty Clinics can use 1 EMR for all their specialties CONS • Difficult & costly to customize • Will require at least 1 year of customizations before you can go live • Will require years of customization before it is perfected • You will likely not benefit from improvements suggested by other practices • Future regulations may have a severe impact on your templates, forcing you to either redesign them, or modify them to adhere to regulations. • Extracting/Trending data from your EMR will be difficult and costly • You may have to redo your templates after a major software version change • The EMR will not have advanced automations that help to streamline data entry • You will likely not have advanced integrations with Diagnostic Equipment • Vendor is not invested in your specialty, and will likely ignore the specialty if they feel another specialty is more lucrative. • You will likely not have the resources to perfect & maintain the EMR

8. Types of EMR Software Template EMR vs. Specialty EMR A Specialty EMR is an EMR that was designed specifically and only for your Specialty (Ophthalmology) PROS • You will not have to customize the structure of the software • The EMR customization process is reduced by 80% as you will only be customizing settings specific to your practice • You can go live in 2-3 months, tech savvy practices much sooner • You will benefit from cumulative suggestions from other users • Data can be easily mined for clinical studies & marketing • Data entry can be automated & streamlined for efficiency & functionality • Ophthalmic relevant data is emphasized • Clinicians will feel that the software was designed just for them • Vendor is invested in the specialty, and will pay more attention to your needs. • Vendor will make significant efforts to interface with all Ophthalmic Diagnostic equipment, some at no cost to you CONS • Major structural changes cannot be made by the user • Clinics with Non-Ophthalmology related specialties will likely require a separate EMR BEWARE OF TEMPLATE EMRs DISGUISED AS A SPECIALTY EMR! Only a handful of Ophthalmology Specialty EMRs exist

9. How to Select an EMR What Really Makes an EMR/EHR Good or Bad • Is the EMR specifically designed for Ophthalmology? • Does the EMR present relevant clinical visit data in a way that allows the Ophthalmologist to “eyeball” it quickly & easily? • Can you customize the system “on the fly”? • Does the EMR include an Imaging System? • If so, can you easily compare multiple images? • Is the quality of the Image Degraded when in the EMR? • Can you create & apply predefined treatment plans? • Does the EMR require minimal clicks/typing? • Does the EMR have a good track record for customer service?

10. How to Select an EMR Do Your Due Diligence • Find out how many users are live and still using the EMR system, not their practice management system. • Ask for 2-3 EMR References and call them • Ask them “Does anyone in your practice have any vested interest with the Company?” • Ask them “Are you 100% live on the system?” • Ask them “Are you happy with their Customer Service?” • Ask them “Do your support requests get resolved in a timely manner?” • Ask them “If you had to purchase another EMR, would you purchase this EMR again?” • Get the Doctors and Technicians involved in the Final Selection Process • Be wary of Misleading Sales Demo Techniques • Require the demonstrator enter all new data for an entire New Patient Visit • Pay attention to how much customization will be required before the EMR can be useful to your practice • When things appear to happen quickly, ask the demonstrator exactly what they are doing on the keyboard/mouse • Some EMR demonstrators will prepare windows and minimize them, then pop them up quickly in an effort to mask the steps necessary to navigate to that area. Require them to close it and open the same screen again if you are suspicious of this.

11. How to Select an EMR Meaningful Use Features to Look For • Does the Meaningful Use Measure Calculation Report help you understand and correct measure specific issues?

12. How to Select an EMR Meaningful Use Features to Look For • Does the EMR have the capability to submit Clinical Summaries to a cost effective Patient Web Portal? • If so, how much does it cost and do you need a secure web server? • Does the Interface to the Practice Management System transfer Race, Ethnicity, and Preferred Language to the EMR? • Can prescribed medications that originate in the patients EMR record transfer seamlessly TO the E-Rx solution? • Does the EMR system gather information from the patient’s record and only asks relevant questions, or does it require you to fill out a Long Meaningful Use Questionnaire for each visit?

13. Meaningful Use Resources • Visit www.EyeMDEMR.com and click the link for the Incentive Resource Center Here you will find simplified resources specific to Ophthalmology to help you understand, register, attest, and achieve Meaningful Use Here you will also find a copy of this presentation

14. Thank you for watching! Please visit us at our booth in the Exhibit Hall! EyeMD EMR is a Certified Complete EMR designed specifically and only for Ophthalmology